| NPI | 1609045343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 306314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 369389-1) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2019-10-24 |